Wetin yu nid fɔ no bɔt Congestive Heart Failure

Yu kin fil taya ɛn nɔ de blo fayn pas aw yu kin fil we yu de waka ɔ du wok? Ɔ yu kin wek na nɛt ɛn i nɔ kin izi fɔ yu fɔ blo? Yu leg ɛn yu anklɛ dɛn kin fil se yu dɔn swel? Bɔku pipul dɛn kin tink se dɛn tin ya na nɔmal sayn dɛn we de sho se wi taya ɛn ol, bɔt sɔntɛnde dɛn tin ya kin bi impɔtant sayn dɛn we wi at de gi wi. Tide wi go tɔk bɔt wan kɔmɔn bɔt nɔr ɔndastand gud gud wan we dɛn kɔl ‘hat failure’, ɔ we dɛn kɔl am na mɛrɛsin `(Congestive Heart Failure)`.

Fɔ tɔk am simpul wan, wetin na at pwɛl?

Tink bɔt di wata pɔmp we de na yu os. I de gi wata to di wan ol os. Wetin kin apin if dis motoka ol ɛn wik? I nɔ go ebul fɔ pɔmp wata fayn fayn wan. Di wata go insay di tank. Sɔntɛm di wata prɛshɔn na di paip dɛn kin go ɔp ɛn lik na say dɛn.

Wi at tan lɛk dis. Na di motoka we wi bɔdi de yuz. Di men wok we di at de du na fɔ pɔmp blɔd to ɔl di kɔna dɛn na di bɔdi. `(Hat Failure)` nɔ min se di at de stɔp ɔltogɛda. Wetin kin apin pan dis na dat, fɔ sɔm rizin, di at in ebul fɔ pɔmp blɔd kin wik. Jɔs lɛk da motoka de, di at nɔ kin ebul bak fɔ pɔmp di blɔd we di bɔdi nid.

Wetin kin apin da tɛm de? Di blɔd we dɛn nɔ kin ebul fɔ pɔmp kin bigin fɔ gɛda na di bak. Dis we ya, blɔd kin gɛda na say dɛn lɛk di lɔng, leg, anklɛ, ɛn bɛlɛ. Na dat mek dɛn yuz di wɔd `(Congestive)`. Dis na sik wae de kam smɔl smɔl as tɛm de go.

Yu gɛt dɛn sik ya bak?

Di sayn dɛm wae de sho se yu at pwɛl kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn kin gɛt sɔm kayn sik wae nɔr kin pasmak, ɛn ɔda wan dɛn kin gɛt siriɔs sayn dɛm. Di sayn dɛm kin kam wantɛm wantɛm ɔr kin kam smɔl smɔl.

If yu gɛt wan ɔr mɔr pan dɛn kayn sik ya, nɔr frayd se na tru tru ``Hat Failure''. Bɔt nɔ ignore am bak. I bɛtɛ fɔ go to yu dɔktɔ kwik kwik wan ɛn tɔk bɔt dis.

Wetin mek di at kin wik so? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?

Nɔto wan tin de we kin mek pɔsin in at pwɛl, bɔt bɔku tin dɛn de we kin mek i nɔ de wok fayn. Sɔm mɛrɛsin kin pwɛl di at ɛn i kin mek i nɔ ebul fɔ pɔmp as tɛm de go.

Na sɔm pan di men rizin dɛn:

• Korona at sik ɛn At Atak: Dis na di tin we kin mek pɔsin gɛt dis sik pas ɔl. We di at we de gi blɔd to di at kin smɔl bikɔs ɔf fat, di at mɔsul nɔ kin gɛt di ɔksijɛn we i nid. If at atak apin, wan pat pan di at kin pwɛl sote go ɛn i kin wik.
• Yu blɔd prɛshɔn we yu nɔ kin kɔntrol (Hypertension): We yu gɛt ay blɔd prɛshɔn fɔ lɔng lɔng tɛm, yu at kin gɛt fɔ wok tranga wan fɔ pɔmp blɔd. I tan lɛk se yu de es ebi ebi wet. As tɛm de go, di at mɔsul kin tik ɛn leta i kin wik.
• Dayabitis: Dayabitis we yu nɔ kɔntrol kin pwɛl di blɔd vesel ɛn di at dairekt wan.
• Cardiomyopathy: Sɔm infekshɔn, we pɔsin de drink pasmak, ɔ we pɔsin kin gɛt frɔm in mama ɛn papa kin mek di at mɔsul wik.
• Di at Valv Prɔblɛm: We di at valv nɔ opin ɛn lɔk fayn, di at kin gɛt fɔ wok tranga wan fɔ pɔmp blɔd.
• Conngenital Heart Defects: Dɛn kin bɔn sɔm pipul dɛn wit sɔm at prɔblɛm.
• Ɔda tin dɛn we kin apin: Kidni sik, tayroyd prɔblɛm, ɛn sɔm kansa mɛrɛsin (kimotɛrapi) kin mek dis sik bak.

Fo stej de wae yu hat de woke fayn.

Dɔktɔ dɛn kin sheb di sik to 4 stej (A, B, C, D). Dis kin mek am izi fɔ no aw di sik tranga ɛn plan aw fɔ trit am.

1. Stej A: Dɛn pipul ya nɔ gɛt wik at yet. Bɔt dɛn gɛt tin dɛn we kin mek dɛn gɛt dis sik lɛk ay blɔd prɛshɔn, dayabitis, ɛn dɛn famili histri bɔt at sik. Na dis stej, di gol na fɔ kɔntrol dɛn risk factor dɛm ɛn tray fɔ mek di sik nɔ kam.

2. Stej B: Dɛn pipul ya kin gɛt sɔm strɔkchɔral chenj dɛn na dɛn at (e.g., afta dɛn dɔn gɛt at atak), bɔt dɛn nɔr dɔn gɛt sɔm sayn dɛn yet. Dɛn pipul ya kin kɔntrol dɛn sik bak bay we dɛn de tek mɛrɛsin ɛn chenj dɛn layf.

3. Stej C: Dɛn pipul ya kin gɛt at pwɛl hat ɛn dɛn kin gɛt sɔm sayn dɛm bak (lɛk fɔ blo shɔt ɛn fɔ swel na dɛn leg). Di men gol fɔ tritmɛnt na fɔ kɔntrol di sayn dɛm, mek layf izi, ɛn mek di sik nɔr de wɔs.

4. Stej D: Dis na di las stej fɔ di sik. Dɛn pipul ya kin gɛt prɔblɛm fɔ kɔntrol dɛn sik wit standad tritmɛnt. Dɛn kin stil gɛt sɔm sayn dɛn we dɛn kin de dɛn wan. Dɛn pipul ya kin nid spɛshal tritmɛnt, sɔntɛm dɛn kin nid fɔ transplant dɛn at.

Aw dɛn kin du di diagnosis ɛn tritmɛnt?

We yu go to dɔktɔ, i go aks yu bɔt di sik dɛn we yu gɛt, yu famili istri, ɛn ɛni mɛrɛsin we yu de tek. Dɔn, dɛn go chɛk yu. Apat frɔm dat, dɛn kin du bɔku tɛst fɔ no if dɛn gɛt di sik ɛn fɔ no di tin we mek i gɛt di sik.

• Blɔd tɛst: Chɛk fɔ tin dɛn lɛk di kidni ɛn tayroyd we de wok ɛn we nɔ gɛt bɛtɛ blɔd.
• Chεst X-ray: Chεk di saiz fכ di at εn if wata de kכmכt na di lכng.
• ECG (Electrocardiogram): Dis tεst de chεk di ilektrikal aktiviti na di at εn i kin no di at ritm prכblεm dεm εn di at kכndyushכn dεm we bin de bifo.
• Echocardiogram (Echo): Dis na tɛst we rili impɔtant. I tan lɛk we dɛn de skan di at. i kin mכsu di saiz fכ di at, di tik we di at mכsul tik, di wok we di valv dεm de du, εn aw di at de pכmp bכdi fayn fayn wan (Ejection Fraction - EF).
• Ɔda tɛst dɛm: Sɔntɛnde, dɛn kin nid fɔ du tɛst dɛm lɛk `(Stress test)` ɛn `(Cardiac MRI)` bak.

Di we aw dɛn kin trit am

Pan ɔl we no kɔmplit mɛrɛsin nɔ de fɔ mek pɔsin gɛt at pwɛl, if dɛn tek di rayt tritmɛnt ɛn chenj di we aw dɛn de liv dɛn layf, dɛn kin ebul fɔ kɔntrol di sik dɛn, dɛn kin slo di sik, ɛn pipul dɛn kin liv kɔmfyut ɛn aktif layf.

Di tritmɛnt plan gɛt tu men pat dɛn:

1. Di mɛrɛsin dɛn we dɛn kin yuz

Yu dɔktɔ go gi yu sɔm kayn mɛrɛsin dɛn dipen pan yu kɔndishɔn. Dɛn tin ya de wok fɔ ridyus di wok we yu de du na yu at, kɔntrol yu blɔd prɛshɔn, pul di wata we pasmak na yu bɔdi, ɛn protɛkt yu at. Fɔ ɛgzampul, dɛn kin yuz ACE inhibitors, beta-blockers, ɛn diuretics (wata pils). I rili impɔtant fɔ tek di mɛrɛsin dɛn we yu dɔktɔ gi yu lɛk aw dɛn tɛl yu fɔ tek, ɛn yu nɔ fɔ mis wan de.

2. Di we aw pɔsin de liv in layf

Dɛn tin ya impɔtant jɔs lɛk aw mɛrɛsin impɔtant.

• Sɔl kɔntrol: Yu fɔ ridyus di sɔl we yu de ad to yu it. Sכl de mek di wata we de na di bכdi de kכmכt bכku, we de mek di at go bכku. Fɔ it tin dɛn we dɛn kin put insay tin, sos, ɛn fast fud dɛn kin gɛt bɔku sɔl.
• Fluid control: Sɔm pipul dɛn kin advays dɛn dɔktɔ fɔ lɛ dɛn nɔ drink bɔku wata fɔ wan de.
• We yu de wej ɛvride: Wej yusɛf di sem tɛm ɛvri mɔnin ɛn rayt yu wet. If yu gɛt 1-2 kilo wantɛm wantɛm insay tu ɔ tri dez, dat min se yu de kip wata na yu bɔdi. If dis apin, tɛl yu dɔktɔ wantɛm wantɛm.
• It fayn fayn it: It mɔ vɛjitebul, frut, ɛn it dɛn we gɛt fayv. Ridyus ɔyl, shuga, ɛn it dɛn we dɛn dɔn prosɛs.
• Ɛksesaiz we fit: Aks yu dɔktɔ bɔt ɛksesaiz dɛn we fayn fɔ yu ɛn we nɔ go mek yu strɛs. Ivin sɔntin we simpul lɛk fɔ waka, fayn.
• Stɔp fɔ smok ɛn drink rɔm: Dɛn tu tin ya rili bad fɔ di at.
• Ɔda tin dɛn we dɛn kin yuz fɔ kɔntrol di sik dɛn:If yu gɛt ɔda sik dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, i impɔtant fɔ kɔntrol dɛn fayn fayn wan.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt ɔ if yu sik de wɔs, mek shɔ se yu go to dɔktɔ. Speshali, na fɔ no bɔt dɛn tin ya:

• If i at fɔ blo ivin we yu jɔs tinap.
• If di swɛlin na di leg ɔ bɛlɛ go bɔku wantɛm wantɛm.
• If yu gɛt wet wantɛm wantɛm (mɔ pas 2 kg insay sɔm dez).
• If yu de fil ɔltɛm se yu taya we yu nɔ go ebul fɔ bia.

Hat we nɔ de wok fayn nɔto sɔntin we pɔsin fɔ fred ɛn giv-ɔp pan. Na wan sik wae dɛn kin ebul fɔ kɔntrol, jɔs lɛk dayabitis ɛn ay blɔd prɛshɔn. Di tin we impɔtant pas ɔl na fɔ fala di kɔrɛkt advays we dɔktɔ gi, tek di rayt mɛrɛsin, ɛn liv fayn layf. If yu dɔktɔ ɛn yu famili sɔpɔt yu, yu kin ebul fɔ mɛn dis sik fayn fayn wan.